Community Health Coach

Metropolitan Jewish Health System•Town of Cortlandt, NY
•$61,463 - $65,000•Onsite

About The Position

The Community Health Coach conducts in-person care management visits with members in their homes, using established criteria and care management scripts to identify Social Determinants of Health needs. The role provides interventions informed by members’ psychosocial, environmental, and spiritual needs, and helps members access covered and non-covered benefits and community resources. The coach supports continuity of care across healthcare settings by collaborating with the interdisciplinary team and Primary Care Management, reporting findings, and submitting completed documentation to the Support Staff Supervisor.

Requirements

  • Minimum 1–2 years of relevant work experience in long-term care, managed care, home care, geriatrics, a hospital setting, or hospice.
  • Working knowledge of Medicare and Medicaid regulations.
  • Strong background in addressing Social Determinants of Health/Certification.

Nice To Haves

  • Bachelor’s degree in Social Work, psychology, or a related health field preferred.
  • Prior experience in an interdisciplinary service delivery environment preferred.

Responsibilities

  • Conduct in-person care management visits and identify appropriate interventions based on members’ psychosocial, environmental, and spiritual needs.
  • Use pre-established criteria and care management scripts to identify Social Determinants of Health needs during home visits, in accordance with departmental workflow.
  • Educate members about accessing covered and non-covered benefits and help ensure continuity of care across healthcare settings through interdisciplinary collaboration.
  • Use knowledge of plan benefits and community-based resources to address member needs.
  • Educate members on preventive health, quality-of-life interventions, plan benefits, Advance Directives, Health Care Proxy, and Power of Attorney (POA).
  • Help facilitate completion of Advance Directives, Health Care Proxy, and Power of Attorney documentation.
  • Collaborate with Primary Care Management, report findings, and submit completed documentation to the Support Staff Supervisor.

Benefits

  • Tuition reimbursement for full- and part-time staff.
  • Generous paid time off, including your birthday.
  • Medical, dental, and vision coverage for employees and family members.
  • Two retirement plans: 403(b) and an employer-paid pension.
  • Flexible spending.
  • Employer qualification under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF).
  • Career development and advancement opportunities.
  • Comprehensive compensation and benefits.
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